[Question #4074] Stds hiv risk

33 months ago
hello doctor 
I had a massage from a low quality spa in dubai 5 days ago the masseuse tried to touch my anus then she did that from outside only ... later she gave me a handjob
Very strong very tough . I noticed a scratch on the head of the penis after handjob.
For all these thing she used the oil only .
No saliva
No genital fluids

Is there any stds risk to me (hiv,hsp,hpv,warts......)

1- if she did the same thing with another person befor me and she did not wash here hands.
2- if she has a cut on her hand
33 months ago
hello doctor 
I had a massage from a low quality spa in dubai 5 days ago the masseuse tried to touch my anus then she did that from outside only ... later she gave me a handjob
Very strong very tough . I noticed a scratch on the head of the penis after handjob.
For all these thing she used the oil only .
No saliva
No genital fluids

Is there any stds risk to me (hiv,hsp,hpv,warts......)

1- if she did the same thing with another person befor me and she did not wash here hands.
2- she did touch my anus from outsaid only
3- Even if she had a small cut in her hand when she did scratch my penis through the tough handjob
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
33 months ago
Welcome to the forum. Apologies for the delay in getting to your question.

This was an entirely safe sexual exposure; nobody has ever been known to catch any STD from exposures like you describe, regardless of the vigor of the contact. It isn't possible to say the risk was zero, but with know known or proved cases, any risk is obviously extraordinarily small, if not truly zero.

1) These are pointless speculations. It seems unlikely such a massage worker would not wash hands between customers; and if she did not, still the fluids would have dried and would be non-infectious; and not enough fluids could be carried over to be a risk.

2) Hand-genital or hand-anal contact, and fingering, are zero risk events.

3) Superficial cuts and scratches also make little or no difference. Even with prolonged vaginal or anal intercourse, such superfiicial lesions are not known to increase the risk of transmission of HIV or other STD.

My understanding, from the director of the main STD clinic in Dubai, is that there never had been a documented HIV transmission from a sex worker to a customer in Dubai. That was a few years ago, and I suppose things could have changed. But because of UAE's HIV testing policies, it is believed that few sex workers have HIV; and most of their male clients also come from geographic areas with very low rates of HIV, so there aren't very many male customers who could infect the sex workers with HIV. Certainly Dubai is not any sort of hotbed for HIV transmission. That doesn't mean the risk is zero, but certainly it's very low.

I don't recommend testing for HIV or any other STD on account of this exposure.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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33 months ago
Thank you very much Doctor, I am a married man. Can I go ahead with my wife without having to do any tests?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
33 months ago
That's what I would do with my wife if somehow I were in your situation.---
33 months ago
Thank you so much doctor